Information Letter No. 17-11 — The purpose of this letter is to notify Nursing Facility Providers (NFs) of the new billing codes for durable medical equipment (DME) and therapy assessments reimbursed through the PASRR program. All PASRR specialized services approved by the Texas Health and Human Services Commission (HHSC) on or after June 1, 2017, must be billed using the billing codes below. … [Read more...] about New Billing Codes for Pre-admission Screening and Resident Review (PASSR) DME and Therapy Assessments.
New Letter to clarify guidance on reporting Abuse, Neglect & Exploitation and investigating incidents reportable to DADS
Provider Letter No. 17-03 - April 24 - DADS released a new provider letter to clarify guidance on reporting ANE to DFPS by an ICF/IID exempt from licensure (referred to in this Provider Letter as a “facility). Guidelines for Reporting Abuse, Neglect and Exploitation (ANE) to the Texas Department of Family and Protective Services (DFPS) and Reporting Incidents to the Texas Department of Aging and Disability Services (DADS). A flow chart showing the reporting requirements and a checklist to use … [Read more...] about New Letter to clarify guidance on reporting Abuse, Neglect & Exploitation and investigating incidents reportable to DADS
Attention HCS Providers!! Request for Partial Reimbursement for Fire Sprinkler System has a Deadline.
Dads has published a Provider Letter regarding the deadline and process to submit a request for partial reimbursement of a fire sprinkler system in a Four-Person Residence for HCS providers. Refer to the letter for what is required to be in the request and how to submit it. Note that the request must be emailed by 5 PM on June 30, 2017. … [Read more...] about Attention HCS Providers!! Request for Partial Reimbursement for Fire Sprinkler System has a Deadline.
Provider Letter Regarding Adoption of 2012 Edition of NFPA 101 Life Safety Code and 2012 edition of NFPA 99-Health Care Facilities Code
On March 5, 2017, DADS published a provider letter regarding the 2016 adoption by regulation of the NFPA 2012 LSC and 2012 HCFC. Be familiar with the Existing Occupancy chapters and the New Occupancy chapters that apply to newly-constructed facilities. The latter would apply to facilities for which construction, receipt of design approval or building permits were received no later than July 4, 2016.These standards do not apply to licensed only NF's who are still under the 2000 edition until … [Read more...] about Provider Letter Regarding Adoption of 2012 Edition of NFPA 101 Life Safety Code and 2012 edition of NFPA 99-Health Care Facilities Code
Change of Ownership, Provider Agreement Assignment, and Relocation
Provider Letter No. 16-37 —Change of Ownership, Provider Agreement Assignment, and RelocationThe Texas Department of Aging and Disability Services (DADS) is issuing this provider letter to remind intermediate care facilities for individuals with an intellectual disability or related conditions (ICF/IID), of requirements associated with change of ownership, assignment of a provider agreement, and relocation of an ICF/IID. If a change of ownership of an ICF/IID is being considered, a program … [Read more...] about Change of Ownership, Provider Agreement Assignment, and Relocation
Clarification of Abuse, Neglect and Exploitation (ANE)
Provider Letter No. 16-36 –Clarification of Abuse, Neglect and Exploitation (ANE)Self-Reporting and “Duty to Report” RequirementsHCSSA is required by the Texas Administrative Code, Title 40, Part 1, Chapter 97, §97.249, to self-report to both the Texas Department of Aging and Disability Services (DADS) and the Texas Department of Family and Protective Services (DFPS) incidents of ANE of HCSSA clients by HCSSA staff. By contrast, HCSSA employees, as well as all citizens, are required by the Texas … [Read more...] about Clarification of Abuse, Neglect and Exploitation (ANE)
Waiver Survey and Certification Quality Assurance Surveys
Waiver Survey and Certification Quality Assurance SurveysEffective October 1, 2016, the Waiver Survey and Certification (WSC) Unit of the Texas Department of Aging and Disability Services (DADS) Regulatory Services will begin conducting quality assurance (QA) surveys of HCS and TxHmL program providers. The purpose of QA surveys is to increase consistency in the survey and certification process for the HCS and TxHmL programs. During a QA survey, a QA team will review the results of a survey … [Read more...] about Waiver Survey and Certification Quality Assurance Surveys
SUMMARY OF PROPOSED PAYMENT RATES
SUMMARY OF PROPOSED PAYMENT RATESEffective September 1, 2016The Health and Human Services Commission (HHSC) will conduct a public hearing at 3:00 p.m. on August 26, 2016 in the Public Hearing Room in the Brown Heatly Building, 4900 N. Lamar Boulevard, Austin, Texas, with entrance through Security at the front of the building facing Lamar Boulevard. Public comments will be received on proposed Foster Care Redesign (FCRD) payment rates for the 24-Hour Residential Child Care (24 RCC) program … [Read more...] about SUMMARY OF PROPOSED PAYMENT RATES
Medicaid 1115 Waiver
HHSC has received federal approval of a waiver that allows the state to expand Medicaid managed care while preserving hospital funding, provides incentive payments for health care improvements and directs more funding to hospitals that serve large numbers of uninsured patients.Recent Updates:The recording of the October 5, 2016 DSRIP DY5 October Reporting Webinar has been posted on the Recorded Webinars/Conference Calls page. (10/6/16)HHSC has posted information for DSRIP October DY5 Reporting … [Read more...] about Medicaid 1115 Waiver
Provider Marketing Guidelines
Provider Marketing GuidelinesPurposeThe purpose of the Texas Provider Marketing Guidelines is to provide guidance to the State of Texas Medicaid fee-for-service, Medicaid Managed Care, Children's Health Insurance Program (CHIP), Children's Medicaid Dental, and CHIP Dental Providers, referred to as Medicaid, on permissible and prohibited provider marketing.The information provided is not intended to be comprehensive, or to identify all applicable state and federal laws and regulations. Providers … [Read more...] about Provider Marketing Guidelines
